health partner engagement manager resume example with 10+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • :

My experience has provided me with the knowledge and ability to provide outstanding customer service, excellent verbal and written communications skills. The ability to deal with the public enthusiastically. I strive to provide great collaboration with coworkers and internal department staff, interpersonal, and multitasking abilities. Highly organized, proactive and punctual with team oriented mentality. Meets tight deadlines every time. I am a motivated employee seeking the opportunities to expand skills while facilitating company growth. Flexible hard worker ready to learn and contribute to team success.

  • Certified Life Coach
  • Customer Relationship Management
  • Event planning and execution
  • Accounts payable understanding
  • Excellent interpersonal and organizational skills
  • Communication and problem solving
  • Time Management
  • Staff training and development
  • Team Building/Leadership
Health Partner Engagement Manager, 08/2020 to Current
CareSourceCity, STATE,
  • Provided input into team practices with HPRS and internal on areas in need of improvement with the assigned Health Partners to ensure that the appropriate is effectively responding in a timely manner.
  • Build excellent communication and trust with the Health Partner. Plan, schedule and facilitate monthly and quarterly meeting.
  • Active participant in all internal meetings. Work and complete assigned outreach projects. Point of contact for Health Partners to assist and advocate on their behalf to resolve concerns in a timely manner.
  • Consulted with Tier 1 Health Systems to identify internal procedures that adversely affect them, gather issues and define work practices and procedures. Provide education opportunities, webinar, systemic issues, portal training and network notifications.
  • Worked with cross-functional internal team members to manage group needs on identified issues for claims resolutions and follow up on tasks through completion..
  • Help to review and discuss identified issue, place research tickets and assist to find the root cause of concern to provide a resolution.
  • Assisted the Health partner in setting up a process and provided them with concepts to have a better workflow in submitting issues and followed through implementation.
  • Measured and reported on issues performance on volume, gained insights and compared results against the goals to reduce AR issue and to identify strengths and weaknesses.
  • Strengthened outreach communication with Health Partners and developed trust to drive interest level to add other lines of business.
  • Worked with MLSS and Delegation departments to coordinate meeting to discuss concern, identify issues that focused on successful communication and resolution for the Tier 1 Health Systems.
  • As the advocate for the Health Partner, I demonstrate the ability to handle, refer, delegate complex or non-routine question to the appropriate departments. Other duties as assigned
Health Partner Resolution Specialist, 02/2018 to 08/2020
CareSourceCity, STATE,
  • Point of contact for Health Partners to assist and advocate on their behalf. Providing account support and driving resolutions in a timely manner.
  • Communicate well with the Health Partner with the goal of the overall satisfaction and engagement of the Health Partner.
  • Submit research ticket, provide response to claims and general operational issues that the Health Partner brings to our attention.
  • Outreach to all appropriate departments for claims resolution. Follow up on tasks through completion. Work collaboratively with staff and management to ensure continuous performance improvement.
  • Resolve routine issues with the Health Partner in the market in accordance with the department service level of expectations.
  • Participate in the maintenance and development of the relationship with our Health Partners.
  • Utilized proven methods of dispute resolution by fostering understanding of opposing party's perspective. Other duties as assigned.
Senior Finance Revenue Cycle Specialist Supervisor, 05/2011 to 02/2018
University HospitalsCity, STATE,
  • Supervised team of 5 specialist. Developed team schedules, managed timekeeping and administered bi-weekly payroll for team.
  • Created and implemented the training manual and check list for new hires for the revenue cycle department. Reduced insurance revenue, audited productivity, review and analyze account balances.
  • Senior team leadership on discussion on ways to collect payment for medical services rendered from insurance companies.
  • Boosted team productivity and success by establishing strong and trusted connections.
  • Completed audits to check verifications on outreach and claim denials follow up.
  • Recruited, trained and motivated a 5 person team on time management.
  • Trained how team in handling billing and coding procedures and creating observation bill.
  • Processed cash, check and credit card payments on patient accounts.
  • Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
  • Utilized active listening skills to quickly resolve problems and escalated larger issues to senior leadership.
  • Managed daily operations of mail staff by supporting continuous delivery of excellent services and care.
  • Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
  • Drove client retention and increased revenue by driving effective customer relationship management protocols.
  • Promoting positive work environment through effective communication, active engagement and hands-on assistance.
Education and Training
Bachelor of Science: Education of Individuals in Elementary Special Education Programs, Expected in 06/1989 to Cleveland State - Cleveland, Ohio,
  • Recognized as Sunday school teacher of the year for outstanding performance and team contributions.
  • Mentor for teen girls ages 8-21
  • Manager-finance at Green works dance company for 6 years
  • Created highly effective new hire training manual and check list that significantly impacted efficiency and improved operations at University Hospitals.
  • Led UH revenue cycle team to achieve 4.5 million dollars in revenue, earning recognition from upper management and financial reward.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Cleveland State

Job Titles Held:

  • Health Partner Engagement Manager
  • Health Partner Resolution Specialist
  • Senior Finance Revenue Cycle Specialist Supervisor


  • Bachelor of Science

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: